基于特征细胞和特异性标记物的新型诊断方法在RA中的应用研究
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景德镇市第二人民医院

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Application of a new diagnostic method based on characteristic cells and specific markers in RA
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    摘要:

    目的:探讨基于特征细胞和特异性标记物的新型诊断方法在类风湿关节炎(rheumatoid arthritis,RA)中的诊断优势。方法:选取2023年1月~2024年10月我院收治的60例RA患者作为观察组,另选取同期进行相同检查的同性别比例60例健康人员作为对照组。比较两组基本资料、风湿四项指标[类风湿因子(rheumatoid factor,RF)、抗环瓜氨酸肽(cyclic citrullinated peptide,CCP)抗体、C反应蛋白(C-reactive protein,CRP)、抗链球菌溶血素“O”(Antistreptolysin O,ASO)]水平、CD25+在CD4+、CD8+T淋巴细胞中的表达水平(CD25+CD4+、CD25+CD8+)及[抗正五聚蛋白3(Pentraxin,PTX3)抗体、抗双特异性磷酸酶11(dual-specificity phosphatases,DUSP11)阳性率差异,分析上述指标诊断RA的效能。结果:观察组血样中各检测指标水平均高于对照组(P<0.05);ROC曲线显示:血清RF、抗CCP抗体、CRP、ASO、CD25+CD4+及CD25+CD8+水平诊断RA的AUC分别为0.894、0.797、0.847、0.800、0.961、0.967;抗PTX3抗体及抗DUSP11抗体诊断RA的敏感度分别为6.67%、10.00%,特异度为73.33%、70.00%,准确度为40%、40%。结论:采用基于特征细胞和特异性标记物的新型诊断方法在RA的诊断中均具有一定价值,能够在一定程度上反映出RA患病风险,可为临床诊治提供重要支持。

    Abstract:

    Objective: To explore the advantages of a new diagnostic method based on characteristic cells and specific markers in the diagnosis of rheumatoid arthritis (RA). Methods: 60 patients with RA admitted to the Second People’ s Hospital of Jingdezhen from January 2023 to October 2024 were selected as observation group, and 60 healthy people with the same gender ratio who received the same examination were included in control group. The basic data, levels of four rheumatic indicators [rheumatoid factor (RF), anti-cyclic citrullinated peptide (CCP) antibody, C-reactive protein (CRP), antistreptolysin O (ASO)], expression levels of CD25+ in CD4+ and CD8+ T lymphocytes (CD25+CD4+, CD25+CD8+) and positive rates of Pentraxin (PTX3) antibody and anti-dual-specificity phosphatases (DUSP11) were compared between groups, and the efficiency of the above indicators in the diagnosis of RA was analyzed. Results: The levels of RF, anti-CCP antibody, CRP, ASO, CD25+CD4+ and CD25+CD8+ in blood samples in observation group were higher than those in control group (P<0.05). ROC curve analysis revealed that the AUCs of serum RF, anti-CCP antibody, CRP, ASO, CD25+CD4+ and CD25+CD8+ for RA diagnosis were 0.894 (95%CI: 0.825-0.943), 0.797 (95%CI: 0.714-0.865), 0.847 (95%CI: 0.770- 0.906), 0.800 (95%CI: 0.717-0.867), 0.961 (95%CI: 0.909-0.988) and 0.967 (95%CI: 0.917-0.991), and the sensitivities were 90.00%, 76.67%, 83.33%, 73.33%, 93.33% and 93.33%, and the specificities were 75.00%, 91.67%, 71.67%, 80.00%, 91.67% and 93.33% respectively. The sensitivities of anti-PTX3 antibody and anti-DUSP11 antibody in diagnosing RA were 6.67% and 10.00%, the specificities were 73.33% and 70.00%, the positive predictive values were 20.00% and 25.00%, the negative predictive values were 44.00% and 43.75%, and the accuracy rates were 40% and 40%. Conclusion: The new diagnostic method based on characteristic cells and specific markers has certain value in the diagnosis of RA, and it can reflect the risk of RA to a certain extent and provide important support for clinical diagnosis and treatment.

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陈玉芳.基于特征细胞和特异性标记物的新型诊断方法在RA中的应用研究[J].四川生理科学杂志,2025,47(12):

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  • 收稿日期:2025-07-22
  • 最后修改日期:2025-10-09
  • 录用日期:2025-10-31
  • 在线发布日期: 2026-01-04
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